Provider Demographics
NPI:1881149730
Name:BRIGGS, TIMOTHY J (LICSW)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:J
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 HOSPITAL AVE
Mailing Address - Street 2:SUITE #302
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-2538
Mailing Address - Country:US
Mailing Address - Phone:413-663-8365
Mailing Address - Fax:413-662-2363
Practice Address - Street 1:77 HOSPITAL AVE
Practice Address - Street 2:SUITE #302
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-2538
Practice Address - Country:US
Practice Address - Phone:413-663-8365
Practice Address - Fax:413-662-2363
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-22
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110155603AMedicaid